- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $114.95 / $415.52
| Facility | | $12.59 | $114.95 | $415.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.87 / $8.52 / $11.36
| Professional | | $5.87 | $8.52 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $6.58 / $7.25
| Professional | | $4.55 | $6.58 | $7.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $29.45 / $55.53
| Facility | | $10.23 | $29.45 | $55.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $9.47
| Professional | | $5.00 | $5.50 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $14.07 / $89.60
| Facility | | $8.52 | $14.07 | $89.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $9.36 / $14.21
| Professional | | $7.10 | $9.36 | $14.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $9.94 / $9.94
| Facility | | $9.47 | $9.94 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $20.75 / $47.61
| Facility | | $6.62 | $20.75 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.86 / $15.87
| Professional | | $5.01 | $6.86 | $15.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.07 / $80.19 / $100.00
| Facility | | $63.07 | $80.19 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $9.47 / $61.30
| Facility | | $7.58 | $9.47 | $61.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $9.47 / $13.12
| Professional | | $8.52 | $9.47 | $13.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.53 / $2,499.00 / $5,812.00
| Facility | | $555.53 | $2,499.00 | $5,812.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $9.47 / $23.58
| Facility | | $7.58 | $9.47 | $23.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.28 / $13.56
| Professional | | $5.01 | $7.28 | $13.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.42 / $8.40
| Professional | | $3.98 | $5.42 | $8.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $4.68 / $9.47
| Professional | | $3.69 | $4.68 | $9.47 |